| NPI | 1861060501 |
|---|---|
| Former Name | SHANI PETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301513704) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047441) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-01-28 |